Comfort Contract

Comfort care is a patient plan of care focused on quality of life, control of symptoms, and pain relief. It is essentially administered to patients who have been admitted and hospitalized for many times without recovering even with further medical treatment. Comfort contract can be written or verbal agreement that patient make with themselves, caregivers, and healthcare practitioners to apply a certain behavior when delivering care to the patient. The main purpose for these contracts is to promote patient’s health and improve patient’s adherence to treatment and medications (Zallman et al., 2018). To increase patient’s adherence, formalization, being an adult, contracted parties are some of the features utilized. Comfortable patients are likely to recover quickly and develop better health outcomes compared to unconducive environment.

On a scale ranging from one to ten, the patient and their proxy will represent the comfort’s overall amount experienced by the patient. Further, the proxy or the patient will be inquired and asked to provide details of any persistent discomfort felt at the moment as well as interventions and treatments used at home to help them respite. Nursing practice and research apply several theories and models when designing a patient comfort contract. One of the models used is biopsychological model as it considers patient’s social, biological, and psychological factors. Comfort contract is a primary and essential source of direction followed by the nurses when developing a nursing care plan. A nurse in collaboration with the surrogate and the patient are the ones responsible and engaged during the development and establishment of a desirable comfort level to allow the patient achieve and meet their health needs. Patient’s basic needs are normally taken into consideration when developing a care plan and it is derived from the information documented in the contract of comfort.

The nurse in charge of the patient will use the comfort contract of the patient as a technique to allow her determine the comfort level experienced by the patient despite the current situation caused by the condition. The agreement letter or the spoken words from the patient will be used by the nurse to design a care plan that will improve the patients’ health outcomes and helping them to achieve appropriate and desirable degree of comfort (Fabi et al., 2020). Comfort contract enhances communication between the surrogate, the nurse, and patient. Nurses also it to help the patient whenever they have a concern that should be communicated to the care team and the family members. The comfort contract has a potential that helps all the hospitalized patients by ensuring their needs are met and quick healing is achieved. The contract allows the healthcare providers plan an individualized and home treatment plan for the patients. The contract will also include the relief and home interventions specified by the patient.

References

Fabi, S. G., Few Jr, J. W., & Moinuddin, S. (2020). Practical guidance for optimizing patient comfort during microfocused ultrasound with visualization and improving patient satisfaction. Aesthetic Surgery Journal, 40(2), 208-216.

Zallman, L., Finnegan, K., Roll, D., Todaro, M., Oneiz, R., & Sayah, A. (2018). Impact of medical scribes in primary care on productivity, face-to-face time, and patient comfort. The Journal of the American Board of Family Medicine, 31(4), 612-619.

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Evidence suggests that patients do better when their expectations about specific benefits of nursing care are discussed and met.

Design a “comfort contract” whereby patients or their surrogates designate an expected level of postsurgical overall comfort, and also where they can specify chronic discomforts and interventions that they use at home for relief.

400 words and TWO scholarly references

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